GARY GANSEN DPM
NPI 1992170856
Podiatrist - Foot & Ankle Surgery in Fort Dodge, IA

Active since December 03, 2015PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
804 KENYON RD, SUITE 310, FORT DODGE, IA 50501(515) 574-6880 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gary Gansen Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY GANSEN DPM (NPI 1992170856) is an individual foot & ankle surgery provider in Fort Dodge, Iowa, licensed in Iowa (078754) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, is affiliated with Monroe County Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1992170856
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameGARY GANSENCredential: DPM
Location Address804 KENYON RD, SUITE 310Fort Dodge, IA 50501-5742
Mailing Address804 Kenyon Rd, Suite 310Fort Dodge, IA 50501-5742 · (515) 574-6880
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 3, 2015
✔ NPI 1992170856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IA · 078754
804 KENYON RD, Fort Dodge, IA 50501

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gary Gansen Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921362252
PECOS Enrollment IDI20180514000967
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Gary Gansen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
6580 165TH ST
Albia, IA 52531
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1730274424 (Iowa)
  • 51 clinicians in this Medicare group
Multi-Specialty
522 N HANCOCK ST
Ottumwa, IA 52501
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1356391635 (Iowa)
  • 57 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
83 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Monroe County Hospital

Critical Access Hospitals · Albia, IA
OwnershipGovernment - Local
CMS Certification Number161342
Location6580 165th StreetAlbia, IA 52531 · Monroe County
Emergency services

Mercyone Centerville Medical Center

Critical Access Hospitals · Centerville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161377
LocationOne St Joseph's DriveCenterville, IA 52544 · Appanoose County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers16 claims16 services$207.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
804 KENYON RD, SUITE 320
FORT DODGE, IA 50501
Otolaryngology
804 KENYON RD, SUITE 200
FORT DODGE, IA 50501
Allergy & Immunology
804 KENYON RD
FORT DODGE, IA 50501
Urology
804 KENYON RD, SUITE H
FORT DODGE, IA 50501
Clinic/Center (Rural Health)
804 KENYON RD, STE D
FORT DODGE, IA 50501
Urology
804 KENYON RD, SUITE H
FORT DODGE, IA 50501
Otolaryngology
804 KENYON RD, SUITE N
FORT DODGE, IA 50501
Nurse Practitioner (Pediatrics)
804 KENYON RD
FORT DODGE, IA 50501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Gansen's NPI number?

The NPI number for Gary Gansen is 1992170856. It was assigned to this individual provider in the NPPES registry on December 3, 2015.

Where is Gary Gansen located?

Gary Gansen practices at 804 Kenyon Rd Suite 310, Fort Dodge, IA 50501. The listed phone number is (515) 574-6880.

What is Gary Gansen's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Gary Gansen enrolled in Medicare?

Yes. Gary Gansen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gary Gansen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Gansen reassigns Medicare benefits to 2 organizations: Monroe County Hospital (Albia, IA) and Mercy Medical Center-Centerville (Ottumwa, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Gansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Gansen accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Medica, Oscar Health and Oscar Insurance Company and 2 other insurers list Gary Gansen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gary Gansen affiliated with any hospitals?

According to CMS data, Gary Gansen is affiliated with Monroe County Hospital and Mercyone Centerville Medical Center.

When was this NPI record last updated?

The NPPES record for Gary Gansen was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.